HomeMy WebLinkAboutPermit Plumbing 2019-09-09SPRINGfIETD
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OREGON
Web Address: www.sprangfield-or.gov
Building Permit
Residential Plumbing
Permit Number: 811-19-002077-PLM
IVR Numben 81 r026766562
City of Springfield
Development and Public Works
225 Fifth Street
Soringfield, OR 97477
541-7 26-37 53
Permit Issued: September 09, 2019
TYPE OF WORX
Category of Construction: Manufactured Dwelling
Submltted Job Value: $0.00
Description of Work: Replace water heater
Type of Work: Replacement
JOB SITE INFOR.MATION
worksite Address
1125 58TH ST SPC 66
Springfield, OR 97478
Parcel
77 02342200tO0
TURPIN LARRY L
PO BOX 71641
SPRINGFIELD, OR 97475
LICENSED PROFESSIONAL IT{FORMATION
License
ccB
License umber
208984
Phone
541-686-4191
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspectlon Group
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
SCHEDULING INSPECTIONS
p€rmlt5 exptr. tf work 16 not st rtcd wlthln l8O D.yi of l5.uanc. or lf work l3 suspcnded for l8O D.ys ot long€t dcp€nding on
thG l.rulng .9.ncy'5 pollcy.
A|| piovlstors ot tawr .hd ordln.nces governlng thls typ€ of work wlll b. compliad wlth whcther 3pcclficd hcr.in ot not.
Gran ng ot a pGrmit doei not pnaauma to glv€ Euthorlty to violatc or canc€l th€ provl3lon3 of any oth€r 5tsta or locrl lew
ragulatlng conitruction or the pGrformancG of conatructlon.
ATTET{TIOr: Orcgon law requirG5 you to follow rulca adoptcd by tha Orcgon Utillty ltotitic.tion Canter. Tho.c rulcs .r. s.t
forth in OAR 952-OO1-OO10 through OAR 952-OOl-OO9O, You lnay obtain copies ot thc rulra by cElling th. Ccnter at (5O3)
232-t947.
All p.Bona or cntitic. p.rformlng work under thl3 permlt are rcquired to be lic.n.cd unl.rs .x€mptcd by ORS 701.OlO
(Structural/fl.ch.nic.l), ORs 479'540 (El6dric.l),.nd ORS 693.01o-o20 (Plumblng).
p.anted on: 9/9/t9 page 1 of 2 C:\myRepons/reporls//produdion/01 STANOARD
Email Address: permitcenter@spr,ngfield-or.gov
Owner:
Address:
Buslness Name
SPECIALTY PLUMBING COMPANY .
Primary
Various inspections are minimally required on each project and often dependent on the scope of work, Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at ww\ i'buildingpermits'oregon.gov
Calt or text the word "schedule" to 1-888-299-2821 use IVR number: a11o26766562
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permit Number: a1l- 19-OO2077-PLM Page 2 of 2
F€€ D€scription
Technology Fee
Balance of minimum permit fees - plumbing
Water heater
State of Oregon Surcharge - Plumb ( 12olo of applicable fees)
Quantity Fe€ Amount
$s.10
$77 .00
$2s.00
$72.24
$119.34Total Fees:
Cr \myReports/reoorts//oroductron/o1 STANDARD
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PERMIT FEES
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Plumbing Permit Application DEPARTMENT USE ONLY
Permrt Iro
Dale 7/7t rt?a,
l?5 Fifl SE€€r. Sprintfiel4 OR 9i477 . PH( 5.r I )-126-375I . F,A-X(541 )716-16E9 7/
Zodng approval verified? ! Ves E Xo
This permit is issued under OAR 91E-7t0-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuauce or if work is suspended for 1E0 days.
FEE SCHEDULE
Description a ty.Cost
ea.
Sanitation approval verified?\ew residentirl
CATEGORY OF CONSTRUCTION I barhroom/l kitchen (includes: .first
100 feet o1 water.,sewet lines, hose
' btbs, ice maker. underJloor low-potnt
drains dnd rain-drain packages,
icienrial I Government ! Commercial
JOB SITE INFORMATIO AND LOCATION
Job site address:i 5pc nbb I barhroome l kitchen
132.00
13.00 s
S
I1.00
Cirl:5 tZ t ,r-lC,E srlr,:0L ztP
I bathrooms/ 1 kitchefl
Each additional badroom (over 3)
Reference Ta"r1ot.Each additional kitchen (ove! I )112.00 s
DESCRIPTION OF WORK Resideotial fire s €rs includes
102.00 S
I ves It,o
s
L L.<)
axtl
7z_Far
rh
S tare ZTP
Fa.r
i 0 ro 1.000 square t'eet
I i.601 to 7:00 square fee!
?.201 square feet aod grearer
!lanulactured dwellirl or ab circl. one)
eJnnections to building sewer and
water su ly
Commercial, itrdustrial, snd dwellings other thad otre'or
rw-- o-famii
Minimum fee
Each lixmre 25.00
!liscellaneous fees
100' storm, sewer, warer line 106.00
Each fixlure, appu nenance, and piping I
L
PROPERTY OWNER
Phone I
E-mail:
--
Signature
Name
Address:7/
C iq/
I This installation is being made on residential or farm property
I owned by me or a member of my rmmediate family. and rs
] exempt from licensing requiremens under OAR 9 t 8-695-0020
s
.00 s
Vinimum l'ee
sr02.00 )
5
102.00 i s
s
CONTRACTOR INSTAL toN
Business name: S I
Stolm water retentior/detention faciliry r06.00
o Irri garion s.vstemdBackfl ow s25.00
P iprag or pnvate stom drainage
sterns exceedin !he 0 l'eet
Specialty fixtures s:5.00
Reinspection (no. ofhrs. x fee per hr.)
Special requested inspecdons (no. of
hrs. x fee per hr.)
s
S
5
Phone
E-mail;
Plumbrng license no
Prilt name
I s,gnu*"
Esch additioDal inspection: ( l)
Medic!l gas
Enter vaiue ofinstallation and equiPment $
-Enrer fee based on installation ard equipment vaiue
(A) Enrer subtotal ofabove fees
(lIiniEum Permit Fee S102.00)
(B) Investigative t'ee (equal to 1,4.1)
(C) Ente! l2yo surcharge (.12 x [A+B])
(D) Teohnology Fee (5% of IA])
\10^
s
S
s
s
State: g2 /LcnYsPZt/6i F(*iD
s]6-3.00 $2,001 to 3,600 squ€re l'eer
13.00 s
2.1.00 s
$102.00
s102.00
s
s.00 I s
02.00
Ad&ess
BCD Iicense noCCB license no
Llst edited 7 I 2019 bJones
TOTAI fees aDd surcharges (.-!. through D):
LOCAL GOVERNMENT APPROVAL
Total
cost
s333.00
Crrv or Spmxcrmlu, Onrcox
DEPARTMENT USE
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